Personality disorder characterized by unstable relationships, impulsivity, and strong emotional reactions
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Borderline and narcissism are often misunderstood—this episode separates myth from science. Robert Drozek explores the science behind borderline and narcissistic personality disorders, separating common myths from current research. Together, he and Sue discuss attachment, trauma, genetics, parenting, evidence-based treatments, and why understanding these often misunderstood conditions can bring greater compassion, hope, and healthier relationships. “Borderline is driven by a need to reconnect.” – Robert P. Drozek, LICSW Time Stamps for Challenging Personalities: Understanding Borderline & Narcissism with Robert Drozek (307) 04:14 Understanding Borderline Personality Disorder 09:25 Exploring narcissism: Definitions and types 13:29 Vulnerable vs. grandiose narcissism 18:56 The Role of Trauma in Personality Disorders 22:25 Parenting styles and their impact on narcissism 27:14 Identifying narcissism in relationships 33:34 Treatment approaches for Borderline Personality Disorder 36:45 Challenges in treating Narcissistic Personality Disorder 45:26 Navigating relationships with narcissistic individuals About our Guest – Robert P. Drozek, LICSW Robert P. Drozek, LICSW is the clinical director of the Mentalization-Based Treatment Clinic at McLean Hospital in Belmont, Massachusetts. He is a teaching associate in the Department of Psychiatry at Harvard Medical School, specializing in the treatment of borderline personality disorder, narcissistic personality disorder, and post-traumatic stress disorder. He is author of the new book, Mentalization: Utilizing reflection to heal from borderline personality disorder—the first book for the general public about mentalization-based treatment. Resources for Challenging Personalities: Understanding Borderline & Narcissism with Robert Drozek (307) MBT Boston – An organization that Robert co-founded that offers training and supervision to clinicians across the world in MBT MBT USA – A consortium of MBT providers and organizations in the United Robert’s faculty page at McLean Hospital Instagram: @RobertDrozek Mentalization book – Facebook page Get your copy of Mentalization: Utilizing Reflection to Heal from Borderline Personality Disorder here! Please support our sponsors – they keep our podcast free and accessible to all! SimplePractice is an all-in-one EHR that is HIPPA compliant, HITRUST certified and built specifically for therapists. If you are ready to simplify the business side of your practice, now is a great time to try SimplePractice. Start with a 7-day free trial, then get 50% off your first three months. Just go to SimplePractice.com/TU to claim the offer. Beyond Attachment Styles – Deepening Security in Yourself and Fostering More Secure Relationships Course available NOW! Everyone’s heard of attachment styles – but you likely don’t know how much the popular press gets wrong and what the science actually says about how to improve your relationships long term (including how we relate to ourselves). This course is for anyone wanting to more deeply understand attachment (styles vs patterns), unconscious defense activation patterns, implicit scripts… and most importantly, what to do once you do get activated! Online, Self-Paced, Asynchronous Learning with Quarterly Live Q&A’s! Earn 6 Continuing Education Credits – Available at Checkout. As a listener of this podcast, use code BAS15 for a limited-time discount. Or read Marriott & Kelley’s critically-acclaimed book, Secure Relating: Holding Your Own in an Insecure World (HarperCollins,2023) for the most in-depth experience of learning about Secure Relating. Therapists love it, but it’s accessible to everyone. If you aren’t interested in the background science, just start at Part 2 and we will be talking directly to you – it’s fun! You are invited! OK for those of you who refer others to the pod, use it professionally or consider yourself nerdy and just love this stuff, hello, you are our people! Join our exclusive community to get exclusive bonus content, early access to training opportunities, and an ad-free, private podcast feed. It’s this warm community that allows us to donate half of all corportate profits to mental health access for marginalized peoples. Sign up for our premium Neuronerd plan!! Click here!!
CapeTalk’s Sara-Jayne Makwala King is joined on Weekend Breakfast by DBT skills trainer, teaching informed DBT, Jonathan Mitchell. Weekend Breakfast with Sara-Jayne Makwala King is the weekend breakfast show on CapeTalk. This 3-hour morning programme is the perfect (and perky!) way to kickstart your weekend. Author and journalist Sara-Jayne Makwala-King spends 3 hours interviewing a variety of guests about all things cultural and entertaining. The team keeps an eye on weekend news stories, but the focus remains on relaxation and restoration. Favourites include the weekly wellness check-in on Saturdays at 7:35am and heartfelt chats during the Sunday 9am profile interview. Listen live on Primedia+ Saturdays and Sundays between 07:00 and 10:00am (SA Time) to Weekend Breakfast with Sara-Jayne Makwala-King broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/AgPbZi9 or find all the catch-up podcasts here https://buff.ly/j1EhEkZ Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
If you've ever wondered whether Borderline Personality Disorder (BPD) causes abuse, or whether someone is using their diagnosis to avoid accountability, this conversation tackles one of the most misunderstood topics in mental health and relationships. We break down the difference between emotional dysregulation and abusive behavior, explain why a diagnosis is never an excuse for manipulation, and discuss how untreated trauma can create destructive relationship patterns. You'll also learn about splitting, emotional reasoning, fear of abandonment, codependency, walking on eggshells, gaslighting, boundaries, attachment styles, DBT, accountability, and what genuine recovery actually looks like.Throughout this discussion, we share personal experiences with BPD, healing, therapy, and the work it takes to build emotionally healthy relationships. Whether you're living with Borderline Personality Disorder, dating someone with BPD, recovering from an abusive relationship, or simply trying to better understand trauma and emotional regulation, this episode offers practical insights without shame or stigma. Our goal isn't to label people as good or bad. It's to separate explanation from excuse, compassion from enabling, and help people recognize that healing begins when we take responsibility for what our pain produces.Disclaimer: We are not professionals. This podcast is opinioned based and from life experience. This is for entertainment purposes only. Opinions helped by our guests may not reflect our own. But we love a good conversation.Become a supporter of this podcast: https://www.spreaker.com/podcast/2-be-better--5828421/support.
Have you ever been so afraid of losing someone that you monitored every change in their behavior, panicked when they spent time with someone else, or pushed them away before they could replace you?In this episode, Xannie, Georgette, Carys, Katja, André, and Justin to talk about separation insecurity and fear of abandonment in BPD. They share what it was like when another person felt necessary for emotional survival, including obsessive reassurance seeking, leaving relationships first, trying to control a partner's behavior, and losing their sense of identity outside the relationship.The group also confronts some of the harder truths about these experiences: when desperate attempts to keep someone close become manipulative or frightening, why love can become tangled with primal fear, and how old losses can make every new relationship feel like another abandonment waiting to happen.Topics include:* BPD and fear of abandonment* Separation anxiety in relationships* Fear of being replaced* Relationship obsession and emotional dependence* Favorite person attachment* Pushing people away before they leave* Manipulative behavior and abandonment panic* Losing your identity in a relationshipIf you've ever panicked when someone took too long to reply, assumed another person would replace you, or left first because waiting to be abandoned felt unbearable, this episode is for you.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning (Criterion A): identity, self direction, empathy, or intimacy, along with four or more pathological personality traits (Criterion B): emotional lability, anxiousness, separation insecurity, and depressivity (which are sub-traits of negative affectivity), impulsivity and risk taking (sub-traits of disinhibition), and hostility (a sub-trait of antagonism).In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here___
In this episode, Dr. David Puder speaks with Robert Drozek, clinical director of the Mentalization-Based Treatment (MBT) Clinic at McLean Hospital and teaching associate at Harvard Medical School, about practical Mentalization-Based Therapy techniques to improve clinical outcomes in borderline personality disorder (BPD), OCD, and narcissism. Drozek explains the "What, Why, and How" model of mentalizing, how to address psychic equivalence (rigid certainty), pretend mode, and teleological thinking, and offers concrete strategies clinicians can use in session and assign as between-session work to help patients reconnect with difficult emotions, reduce intellectualization, and develop more flexible, reflective ways of understanding themselves and others. Link to blog Link to YouTube video
Today's episode is part two of a BONUS series on couples work AKA the things couples can do to be successful in the relationships. Talon and I are working through various workbooks (all free and not copyrighted) and activities to help explore our own relationship skills and teach about relationship skills. Today we continue the focus on communication skills. Today's free worksheet we reference can be found HERE Workbooks you might like to purchase to work through: Love More Fight Less 8 Week Couple's Therapy Workbook 7 Principles For Making Marriage Work Hold Me Tight The Gottman Method HERESend us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Have you ever felt like your anxiety was preparing you for the worst, only to realize it was keeping you stuck?In Part 2 of our conversation about BPD and anxiety, Xannie, Carys, Katja, Céline, and Dan share the strategies that genuinely helped them manage anxiety over time. From panic attacks and rumination to avoidance, self-doubt, and fear of difficult conversations, they talk honestly about what made the biggest difference in their recovery.In this episode:* BPD and anxiety* Rumination and overthinking* Avoidance and exposure* Panic attacks and physical anxiety symptoms* Self-soothing and distress tolerance* Coping ahead and journaling* Mindfulness and acceptance* Building confidence through practiceIf you've ever felt like anxiety was making your world smaller, we hope this conversation reminds you that change is possible, even if it happens one small step at a time.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning (Criterion A): identity, self direction, empathy, or intimacy, along with four or more pathological personality traits (Criterion B): emotional lability, anxiousness, separation insecurity, and depressivity (which are sub-traits of negative affectivity), impulsivity and risk taking (sub-traits of disinhibition), and hostility (a sub-trait of antagonism).In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here___
Today's we're starting a new BONUS series on couple's work AKA the things couples can do to be successful in the relationships. Talon and I are working through various workbooks (all free and not copyrighted) and activities to help explore our own relationship skills and teach about relationship skills. Today we focus on communication skills. Today's free worksheet we reference can be found HERE Workbooks you might like to purchase to work through: Love More Fight Less 8 Week Couple's Therapy Workbook 7 Principles For Making Marriage Work Hold Me Tight Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Dr. Shireen Rizvi provides an overview of Dialectical Behavior Therapy (DBT) and the treatment of Borderline Personality Disorder.
BPD Raw is a collection of letters from people living with Borderline Personality Disorder — in their own words, preserved as honestly as possible. Dene visits the pod to talk about his story with BPD and how he's starting a collection of letters, poetry, etc. from OUR voices to eventually be published. Write your letter here: https://bpdraw.com/Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Have you ever been more afraid of your own reaction than of the thing you were reacting to?In this episode of The BPD Bunch, Xannie, Carys, Katja, Céline, and Dan talk about how anxiousness shows up in borderline personality disorder. They share what it was like to replay breakups until they became unbearable, feel physically sick around someone they had just started dating, run from conflict without shoes or a phone, and avoid important conversations because they were terrified of losing control.The group also explores the fear underneath many worst-case scenarios: “I won't be able to cope.” They discuss catastrophizing, panic attacks, shame about anxiety, fear of judgment, masking emotional reactions, and how relationship anxiety can create more chaos while trying to prevent abandonment.Topics include:* BPD and anxiety* Fear of losing control* Catastrophizing and worst-case thinking* Panic attacks and physical anxiety symptoms* BPD anxiety after a breakup* Fear of abandonment and rejection* Avoiding conflict because of emotional reactions* Learning to trust that you can copeIf you've ever avoided a conversation, relationship, opportunity, or decision because you were afraid of how intensely you might react, this episode is for you.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning (Criterion A): identity, self direction, empathy, or intimacy, along with four or more pathological personality traits (Criterion B): emotional lability, anxiousness, separation insecurity, and depressivity (which are sub-traits of negative affectivity), impulsivity and risk taking (sub-traits of disinhibition), and hostility (a sub-trait of antagonism).In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here___
Today you meet Emily, a therapist who was recently diagnosed with BPD and ADHD who has done A LOT of work in understanding the various parts of her, childhood and adult, that show up in her borderline and how she integrates, embraces, and has compassion for them. A lesson I know I can learn. Thank you Emily for your wisdom and story! Emily's therapy practice in Ontario is called The Curious CollectiveSend us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Have you ever felt like one small thing turned into ten different emotions before you even knew what happened?In this episode, Xannie, Solène, Madhurima and Dan continue their conversation on emotional lability and go deep into what has actually helped them regulate their emotions instead of getting swept away by them. They talk through the skills, mindsets, and reframes that took years to build, including a metaphor for emotions as delivery drivers that keep showing up until you actually open the package.This one gets into checking the facts versus running with interpretations, why distraction is only useful short term, what “not caring” actually means in practice, and why grief doesn't always show up on schedule.Topics include:* BPD and emotional regulation* Emotional lability in BPD* Wise mind and DBT skills* Checking the facts* Rumination and BPD* Fear of abandonment* Sitting with uncomfortable emotions* BPD recovery and healthier reactionsIf you've ever felt like your emotions were driving your life instead of the other way around, this episode is for you.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning (Criterion A): identity, self direction, empathy, or intimacy, along with four or more pathological personality traits (Criterion B): emotional lability, anxiousness, separation insecurity, and depressivity (which are sub-traits of negative affectivity), impulsivity and risk taking (sub-traits of disinhibition), and hostility (a sub-trait of antagonism).In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here___
This episode explores the biology and nature of anger in borderline personality disorder ("BPD Rage") and practical strategies family members, friends and partners can use to respond to BPD rage. Some people get angry, while some people just see red. In this episode, Dr. Kibby lifts the veil on what's happening in the brain during these emotional storms and shares proven strategies to manage, soothe, and respond effectively. You might feel helpless as your loved one spirals into a rage that lasts for hours, fueled by triggers deep in their brain's emotional wiring. Dr. Kibby unpacks why BPD rage is so overwhelming, rooted in hyper-reactive amygdalas, weak prefrontal regulation, and a cascade of shame and rejection fears. It's not about bad character or being "evil," but a biological response, amplified by social triggers like betrayal, abandonment, or misunderstood intentions. These emotional storms often appear suddenly, with the flip of a switch, and how they can mimic psychosis or demon-like behavior, leaving loved ones terrified and powerless. Dr. Kibby breaks down the neuroscience behind BPD rage, including the brain's regulatory pathways. Then, the conversation offers practical, research-backed communication techniques that help de-escalate these heightened states. Dr. Kibby shares specific scripts and real-life stories that reveal how these tools can prevent escalation, reduce personal attacks, and promote healing instead of blame. Learn why acknowledging the emotional experience, rather than dismissing it, is crucial for injury prevention and long-term connection. Most importantly, she emphasizes that setting boundaries around dangerous behavior isn't about blame- it's about safety and self-care. Whether you're a parent, partner, or therapist, this episode offers a compassionate, no-nonsense blueprint to handle BPD rage. Resources:Talk to Dr. Kibby about KulaMind, where she supports people dealing with their loved ones' emotional issuesMitolo, M., D'Adda, F., Evangelisti, S., Pellegrini, L., Gramegna, L. L., Bianchini, C., ... & Tonon, C. (2024). Emotion dysregulation, impulsivity and anger rumination in borderline personality disorder: the role of amygdala and insula. European archives of psychiatry and clinical neuroscience, 274(1), 109-116.
Have you ever felt like one unanswered text, one cancelled plan, or one disagreement meant your entire relationship was falling apart?For many people living with BPD, emotional pain doesn't feel “bigger than it should.” It feels completely real. In this episode, Xannie, Madhurima, Dan, and Solène share what emotional lability actually felt like from the inside: the panic, the shame, the explosive reactions, the endless rumination, and the belief that every emotion was telling the truth.Together they talk openly about relationship spirals, favorite people, emotional whiplash, shame after emotional outbursts, fear of abandonment, and the long process of learning that emotions don't have to control your actions. The conversation is brutally honest, deeply validating, and full of moments that many people have experienced but rarely say out loud.In this episode:*BPD and emotional dysregulation*Emotional instability*Fear of abandonment*Favorite person relationships*Rumination and overthinking*Emotional permanence*Relationship triggers*Recovery from BPD emotional dysregulationIf you've ever felt like your emotions were running your life, or that losing one person would destroy you, this conversation is for you.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning (Criterion A): identity, self direction, empathy, or intimacy, along with four or more pathological personality traits (Criterion B): emotional lability, anxiousness, separation insecurity, and depressivity (which are sub-traits of negative affectivity), impulsivity and risk taking (sub-traits of disinhibition), and hostility (a sub-trait of antagonism).In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here___
Wrapping up season 7, Episode 1, The Long Morrow. Luke needs a big reality check and Zoe reveals just how little she knows about Borderline Personality Disorder. Fun!Text us!Support the show
Mental health isn't just a personal challenge—it impacts our families, communities, and economy in powerful ways. In this episode, we broke down the differences between borderline personality disorder and bipolar disorder, explored the various personality disorders, and discussed major mental illnesses like OCD and panic disorder. Remember, 1 in 20 adults face serious mental health issues, and seeking help is crucial. Together, by understanding risk factors and promoting protective ones, we can build resilience and improve lives. Let's work collectively to support mental health and thrive.https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocdhttps://www.mayoclinic.org/diseases-conditions/panic-attacks/symptoms-causes/syc-20376021https://www.cdc.gov/mental-health/about/what-cdc-is-doing.htmlThis is DG and I would love to hear from you!Connect with Aging With Grace®️ at agingwithgraceinfo.org
From Borderline to Beautiful: Hope & Help for BPD with Rose Skeeters, MA, LPC, PN2
In this episode, Rose Skeeters welcomes Bob Drozek, a leading expert in mentalization-based treatment (MBT), to discuss how understanding and improving mentalizing can support hope and recovery from borderline personality disorder (BPD). Listeners will gain insights into the foundational concepts of MBT and practical strategies for fostering better emotional and relational health.Key topics:Mentalization explained: Accessing, reflecting, and understanding mental states in oneself and others (00:00:41)The importance of mentalization in everyday life and therapy (00:55:27)How trauma, rejection, and intense emotions disrupt mentalizing abilities (01:26:00)The role of psychical equivalence mode—certainty about negative self-beliefs— in BPD (05:03:00)Differences between skills-based therapies like DBT and relational, reflective approaches like MBT (13:42:00)The structure of MBT treatment: Formulation, collaborative development, and tailored strategies (16:19:00)Tools to assess and enhance self-awareness, including worksheets for identifying mentalizing strengths and vulnerabilities (19:00:00)The certainty toolkit and overcoming rigid beliefs about oneself and others (21:16:00)Building empathy: Overcoming empathic deficits related to shame and self-criticism (31:00:00)Navigating unstable self-identity through perspective-taking and understanding emotional validation (38:06:00)Success stories of MBT applying to real-world recovery, reducing self-harm, and improving relationships (45:30:00)Resources & LinksPurchase Mentalization Workbook here: https://a.co/d/0dIkE170Access Facebook group here: https://www.facebook.com/MentalizationBookWorksheets: https://global.oup.com/booksites/content/9780198916857/Contact Bob Drozek here: rdrozek@mclean.harvard.eduInstagram: https://www.instagram.com/robertdrozek/MBT Boston—an organization that Bob Drozek co-founded that offers training and supervision to clinicians across the world in MBT: www.mbtboston.com/Need individual support? Schedule a session with Rose here: https://www.thriveonlinecounseling.com/product/individual-sessions/To schedule with Jay, click here: https://www.thriveonlinecounseling.com/product/22608/Gift cards now available for purchase here: https://www.thriveonlinecounseling.com/product/gift-card/**This episode is colloquial not clinical, using personal anecdotes to support conveying information in an informal, relatable way**Thank you to Noah Esreal for sharing his latest song with us, Now Knowing This. If you liked the clip in the beginning of this episode, you can find the whole song at the end of the episode.
Have you ever been told, or told yourself, that this is just who you are? That the most you can do is mask it, manage it, survive it?In this episode, Xannie sits down with clinical psychologist and treatment researcher Dr. Shannon Sauer-Zavala to explore one of the most contested questions in BPD recovery: can your personality actually change, or are you just learning to perform differently?Dr. Sauer-Zavala breaks down the science behind personality trait change, explains how her treatment BPD COMPASS targets the underlying drivers of BPD symptoms rather than the symptoms themselves, and challenges the pervasive belief that personality is fixed. Xannie shares her own experience of discovering, unexpectedly, that she had already changed. The conversation is equal parts clinical clarity and lived honesty.In this episode:* BPD and personality change* Can traits like negative affectivity and impulsivity actually change?* BPD COMPASS treatment explained* The alternative model of personality disorders (AMPD) Criterion B* Treating BPD without years-long specialist waitlists* Why suppressing emotions makes them stronger* Impulsivity, trust issues, and emotional rage in BPD* What recovery actually looks like from the insideIf you've ever been told your personality is the problem, and that the best you can hope for is to hide it better, this episode is for you.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning (Criterion A): identity, self direction, empathy, or intimacy, along with four or more pathological personality traits (Criterion B): negative affectivity (emotional lability, anxiousness, separation insecurity, and depressivity), disinhibition (impulsivity and risk taking), and antagonism (hostility)In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here⸻ Find more from Dr. Sauer-Zavala:Website: https://www.shannonsauerzavala.com/Instagram: https://www.instagram.com/self.made.personality/___
Here's what I think about why men are lonely, including some thoughts about society now vs a generation ago, as well as some practical strategies to increase your circle. IF YOU'RE INTERESTED IN THE MEN'S GROUP, it starts June 23. Email us at info@bestlifebehavioralhealth.com to sign up or learn more here: https://www.bestlifebehavioralhealth.com/mens-coaching-groupMy newest venture, including ALL BRAND NEW POSTS EVERY DAY: https://buymeacoffee.com/drpsychmom/postsTo get over 225 more episodes, most recently "Borderline Personality Disorder in Marriage," subscribe here! https://creators.spotify.com/pod/show/drpsychmomshow/subscribe For my secret Facebook group, the "best money I've ever spent" according to numerous members: https://www.facebook.com/groups/drpsychmomFor coaching from DPM, visit https://www.drpsychmom.com/coaching/For therapy or coaching, contact us at info@bestlifebehavioralhealth.com or visit https://www.bestlifebehavioralhealth.com/
While many people have heard of Dialectical Behavior Therapy (DBT) fewer know about Mentalization-Based Treatment (MBT), an evidence-based therapy that is producing remarkable results for people living with Borderline Personality Disorder (BPD). In this episode, host Gabe Howard sits down with Robert P. Drozek, LICSW, a teaching associate in psychiatry at Harvard Medical School and author of “Mentalization: Utilizing Reflection to Heal from Borderline Personality Disorder.” Together, they explore how mentalization—the ability to understand your own thoughts, feelings, and motivations while considering the perspectives of others—can help reduce the emotional instability, relationship challenges, impulsivity, and self-destructive behaviors often associated with borderline personality disorder. Robert explains what happens when intense emotions or fears of rejection disrupt a person's ability to accurately interpret themselves and others. He breaks down how Mentalization-Based Treatment works, what a typical therapy session looks like, and why some people who haven't connected with DBT may find MBT to be a powerful alternative. Listeners Will Learn: · Discover how Mentalization-Based Treatment (MBT) was developed and why it is evidence-based · Explore the key differences between MBT and Dialectical Behavior Therapy (DBT) · Find out what happens during a typical MBT therapy session · Understand how rigid certainty about yourself or others can fuel emotional suffering Whether you've been diagnosed with borderline personality disorder, love someone who has, or simply want to better understand this treatable mental health condition, this conversation offers hope, practical insights, and a fresh perspective on recovery. Listen now! “When (people with borderline personality disorder) are overwhelmed by emotion, they stop reflecting. Mentalization helps them get their minds back online.” ~Robert P. Drozek, LICSW Robert P. Drozek, LICSW, is the clinical director of the Mentalization-Based Treatment Clinic at McLean Hospital in Belmont, Massachusetts. He is a teaching associate in the Department of Psychiatry at Harvard Medical School, specializing in the treatment of borderline personality disorder, narcissistic personality disorder, and post-traumatic stress disorder. He is author of the new book, Mentalization: Utilizing reflection to heal from borderline personality disorder—the first book for the general public about mentalization-based treatment. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
I always discuss how if you're depressed or have ADHD, you may get less done than other people, and it doesn't mean you're lazy. But you know what, some people are truly lazy! And that is OKAY.... except if you're a super productive person married to one. Here's how to understand what "laziness" really is and how to think about it in a more objective way.My newest venture, including ALL BRAND NEW POSTS EVERY DAY: https://buymeacoffee.com/drpsychmom/postsJoin my awesome Midlife Women's Group here: drpsychmom.com/mwgTo get over 220 more episodes, most recently "Borderline Personality Disorder in Marriage," subscribe here! https://creators.spotify.com/pod/show/drpsychmomshow/subscribe For my secret Facebook group, the "best money I've ever spent" according to numerous members: https://www.facebook.com/groups/drpsychmomFor coaching from DPM, visit https://www.drpsychmom.com/coaching/For therapy or coaching, contact us at info@bestlifebehavioralhealth.com or visit https://www.bestlifebehavioralhealth.com/
Have you ever completely fallen apart over something small… only to realize later it wasn't really about that thing at all?Sometimes emotional overwhelm isn't caused by one moment. Sometimes it's weeks of stress, fear, shame, exhaustion, criticism, bad luck, and pressure piling up until one final thing breaks the dam.In this minisode from The BPD Bunch, a side conversation turns into an honest discussion about emotional overwhelm, crying in public, shame, recovery, and what happens when emotions finally catch up with you.The cast shares stories about breaking down at work, crying in front of authority figures, feeling embarrassed by emotional reactions, surviving impossible weeks, and learning that sometimes the healthiest thing you can do is stop fighting your emotions and let yourself feel them.What starts as a tangent becomes one of the most honest conversations from the recording session.We talk about:* BPD and emotional overwhelm* Shame after emotional reactions* Crying in public* Emotional sensitivity* Fear of criticism* Recovery from BPD* Emotional regulation* BPD and workplace stressIf you've ever felt embarrassed by your emotions, judged yourself for having a hard day, or wondered why one small thing suddenly pushed you over the edge, you're not alone.For the next few weeks, we're taking a short break from our AMPD deep dive and answering some of your questions instead. Don't worry though, we'll be back on June 24 to pick up where we left off.⸻
In this week's new episode of Bold Beautiful Borderline we meet Dr. Smith, who shares about how he feels medicine has lost its mind. What does this mean? It means that primary care is failing people with severe mental health issues. In our episode he proposes strategies to get medicine back on track to best support individuals in need of mental healthcare. Dr. Smith, MD recently published the book Has Medicine Lost Its Mind: https://amzn.to/4aTpola Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Both partners in this dynamic suffer and end up with lower self esteem, even though we usually think the preoccupied attachment/pursuer partner suffers more. How does this dynamic impact both partners negatively?My newest venture, including ALL BRAND NEW POSTS EVERY DAY: https://buymeacoffee.com/drpsychmom/postsJoin my awesome Midlife Women's Group here: drpsychmom.com/mwgTo get over 220 more episodes, most recently "Borderline Personality Disorder in Marriage," subscribe here! https://creators.spotify.com/pod/show/drpsychmomshow/subscribe For my secret Facebook group, the "best money I've ever spent" according to numerous members: https://www.facebook.com/groups/drpsychmomFor coaching from DPM, visit https://www.drpsychmom.com/coaching/For therapy or coaching, contact us at info@bestlifebehavioralhealth.com or visit https://www.bestlifebehavioralhealth.com/
Have you ever changed your entire personality just to keep someone from leaving?In this episode of The BPD Bunch, Xannie, Katja, and Solène welcome new cast member Dan for an honest conversation about BPD, foster care, relationships, parenting, treatment, and what recovery actually looks like when life is still complicated.Dan talks about crashing after a breakup, begging and pleading, losing himself in romantic relationships, being afraid of the BPD label, and learning through two years of treatment how to build a life that feels calmer without losing the fun parts of himself.We discuss:* BPD and relationships* Fear of abandonment* Losing yourself in love* BPD recovery* Parenting with BPD* Therapy for BPD* Identity disturbance* Dating after treatment* Radical acceptance* Men with BPDIf you've ever felt like being loved meant becoming whatever someone else needed, this episode is for you.
I've discussed the self-made man before, as this is a common type that I get as a therapy or coaching client. This is about the self-made women! Some differences and some similarities. And how does this woman behave in intimate relationships?Resources I promised:Etched in Sand: https://amzn.to/4e03f5CWall St Journal article: https://www.wsj.com/lifestyle/careers/surprising-lessons-from-talking-with-americas-highest-earning-women-fb7c08e9My newest venture, including ALL BRAND NEW POSTS EVERY DAY: https://buymeacoffee.com/drpsychmom/postsJoin my awesome Midlife Women's Group here: drpsychmom.com/mwgTo get over 220 more episodes, most recently "Borderline Personality Disorder in Marriage," subscribe here! https://creators.spotify.com/pod/show/drpsychmomshow/subscribe For my secret Facebook group, the "best money I've ever spent" according to numerous members: https://www.facebook.com/groups/drpsychmomFor coaching from DPM, visit https://www.drpsychmom.com/coaching/For therapy or coaching, contact us at info@bestlifebehavioralhealth.com or visit https://www.bestlifebehavioralhealth.com/
If you've ever felt like your anxiety, depression, or inability to calm down is just who you are — this episode will change how you see your brain. Angie Noack is a licensed professional counselor and Senior VP of Business Development at Braincode Centers, where she specializes in brain mapping and neurofeedback. She has a deeply personal story that led her to this work, and the way she explains how our brains get stuck — and how they can actually be retrained — is one of the most eye-opening conversations I've had on this show. some things we got into: — why you can't think your way out of anxiety no matter how much therapy you've done — the ADHD misdiagnosis epidemic and what's actually going on in those kids' brains — why SSRIs don't heal anything, they just cover it — Bipolar vs Borderline Personality Disorder — what social media and dopamine are doing to our brains (and our kids' brains) — how neurofeedback literally rewires your brain without putting anything into it — simple tools you can use at home today to start regulating your nervous system Sponsored By: → TIMELINE | Timeline's clinically proven formula is now available at a new, lower price. Mitopure now starts at $99, with the exact same science and formula. And my listeners can still get 20% off when you go to https://timeline.com/HEALINGTHESOURCE → PUORI | Go to https://puori.com/HEALINGTHESOURCE and use the code HEALINGTHESOURCE at checkout to get 32% off your first Puori Grass-fed Whey Protein subscription order and get a free shaker worth $25. Resources: Glow Kids book Metabolical book Follow the host, Claudia, on Instagram, check out Elham's Liquid Gold 100% Organic Castor Oil, and enjoy her deep-dives on Substack
Have you ever felt rejected and suddenly found yourself angry before you could even explain why?In this mini-sode of The BPD Bunch, Xannie, Carys, Jack, and Katja respond to a viewer question about regulating anger after rejection. The conversation gets into what can happen when rejection hits an old wound: shame turns into anger, hurt turns into passive aggression, and the body reacts before the mind catches up.They talk about anger as a shield, the difference between real anger and hidden shame, walking away before things escalate, and what it looks like to catch the reaction before it becomes a full blowup.Topics include:* BPD and rejection* BPD anger* Fear of rejection* Shame and BPD* Passive aggression* Emotional regulation* Rejection sensitivity* BPD relationship reactionsIf you've ever lashed out when what you really felt was hurt, this episode is for you.For the next few weeks, we're taking a short break from our AMPD deep dive and answering some of your questions instead. Don't worry though, we'll be back on June 24 to pick up where we left off.⸻
In today's episode you meet Tami Ward who talks with us about her experience with BPD, being misdiagnosed Bipolar, parenting challenges, and going the distance in her marriage. Tami is a therapist and Reiki provider who is excited to share her wisdom. Thank you Tami for joining us! Tami Ward can be found at: https://www.anchoredinhoperi.com/about-5-1 Tami's books can be bought here: https://www.amazon.com/stores/Tami-Ward-LMHC/author/B0F4Q1L43X?ref=sr_ntt_srch_lnk_1&qid=1780858554&sr=1-1&shoppingPortalEnabled=true&ccs_id=85ddfeab-ad55-49a2-bd8a-ff11dcdb1055Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Have you ever confused emotional intensity with intimacy?In this episode of The BPD Bunch, Xannie, Justin, Andre, Carys, and Mo continue their conversation about BPD and intimacy, this time focusing on what actually helped them build healthier relationships in recovery.They talk about fear, jealousy, abandonment panic, choosing chaotic people because stability felt boring, learning not to punish people before having hard conversations, and realizing that love does not have to feel like emotional survival.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). Under the AMPD, difficulties with intimacy are considered part of impairments in interpersonal functioning, alongside empathy. To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning: identity, self direction, empathy, or intimacy, along with four or more pathological personality traits, which we'll be discussing in more detail later this season.Topics include:* BPD and intimacy* Fear of abandonment* Trust issues in relationships* Jealousy and BPD* Push pull relationships* Emotional permanence* BPD recovery* Healthy relationships with BPDIf you've ever wanted closeness while also panicking the second it started to feel real, this episode is for you.In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. ⸻
Splitting is so highly demonized in BPD. So, like, what even is it?? Splitting is a defense mechanism in which a person has difficulty holding both positive and negative feelings about themselves, others, or situations at the same time. Instead, people or experiences may be viewed in extreme, “all-or-nothing” ways — for example, someone may be seen as completely caring and safe one moment, then completely hurtful or uncaring after a conflict or disappointment.Splitting often happens during periods of emotional stress, fear of abandonment, rejection, shame, or interpersonal conflict. The shift in perception is usually tied to intense emotions rather than manipulation or intentional behavior. For the person experiencing it, the feelings and interpretations can feel very real and urgent in the moment.In this episode Talon and I review splitting and talk about recent examples in our lives. Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Hi ya'll! Welcome to another DBT skill bonus episode celebrating Borderline Personality Disorder Awareness Month. This skill is called GIVE FAST and it is an interpersonal effectiveness skill. It stands for: G - Be gentleI - Act interestedV - ValidateE - Easy mannerF - Be fairA - No apologiesS - Stick to your valuesT - be truthful Here's an overview: https://dbt.tools/interpersonal_effectiveness/fast.phpSend us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Have you ever felt like losing one person would destroy your entire life… even while the relationship itself was destroying you?In this episode of The BPD Bunch, Xannie, Carys, André, Mo, and Justin talk openly about the intense, chaotic, and often painful relationship patterns that can happen with Borderline Personality Disorder. From abandonment panic and toxic relationship cycles to oversharing, emotional testing, and confusing drama for intimacy, the cast explores what closeness looked like when their BPD symptoms were at their worst.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). Under the AMPD, difficulties with intimacy are considered part of impairments in interpersonal functioning, alongside empathy. To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning: identity, self direction, empathy, or intimacy, along with four or more pathological personality traits, which we'll be discussing in more detail later this season.In this episode:* BPD and intimacy* Fear of abandonment* Toxic relationship dynamics* Push-pull relationships* Emotional dependency* Oversharing and testing people* BPD and friendships* Relationship obsession* Emotional reactivity in relationshipsIf you've ever confused emotional chaos with love, stayed in relationships that were hurting you, or felt terrified of someone pulling away, this episode is for you.In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here⸻
This episode continues the Heal NPD Seminar Series with Dr. Mark Ettensohn, joined by his associates Deanna Young, Psy.D., and Danté Spencer, Ph.D. In this session, the group discusses the paper “Living with Pathological Narcissism: A Qualitative Study” (Day et al., 2020), which examines narcissistic personality pathology from the perspective of partners and family members. Unlike most research on narcissism, this study does not rely on self-report or clinician ratings. Instead, it draws on qualitative descriptions from over 400 individuals in close relationships with someone exhibiting high levels of pathological narcissistic traits. These accounts provide a window into how narcissism is experienced interpersonally, particularly in intimate and long-term relationships. The discussion focuses on the study's central finding: that pathological narcissism is best understood as a system characterized by the co-occurrence of grandiosity and vulnerability. Loved ones described patterns of entitlement, arrogance, and need for admiration alongside insecurity, hypersensitivity, emotional instability, and chronic feelings of emptiness. In the majority of cases, these features were not separate “types,” but fluctuating states within the same individual. The group explores how these findings challenge common assumptions about narcissism, including the tendency to equate it with overt grandiosity or interpersonal abusiveness. Particular attention is given to the limitations of DSM-based models, which emphasize observable traits while underrepresenting the internal dysregulation and vulnerability that define the disorder. The conversation also examines broader relational and developmental themes, including: The oscillation between grandiose and vulnerable self-states The role of dissociation and splitting in personality organization The impact of early attachment trauma and “empathic failures” How narcissistic dynamics are expressed and amplified within close relationships The tendency for polarized, dehumanizing narratives to emerge in response to relational injury Finally, the group discusses the concept of “narcissistic abuse,” noting that while experiences of harm in these relationships are real and often significant, the term itself is not a well-defined clinical construct. The discussion emphasizes the importance of distinguishing between lived experience and explanatory frameworks, and of maintaining a nuanced, non-reductive understanding of personality pathology. Key themes include: Pathological narcissism as a dysregulated self-state system The interdependence of grandiosity and vulnerability Limitations of categorical and trait-based models of narcissism The relational expression of personality pathology The role of trauma, attachment, and development in narcissistic adaptation Clinical implications for assessment, formulation, and treatment This series is intended for clinicians, trainees, and viewers seeking a nuanced, clinically grounded understanding of narcissism beyond popular discourse. To learn more about our work, visit: www.HealNPD.org Additional Resources: Newsletter: https://healnpd.substack.com Assessment and therapy inquiries: https://healnpd.org/contact Purchase Unmasking Narcissism: A Guide to Understanding the Narcissist in Your Life: https://amzn.to/3nG9FgH LISTEN ON APPLE PODCASTS: https://rb.gy/cklpum LISTEN ON GOOGLE PODCASTS: https://rb.gy/fotpca LISTEN ON AMAZON MUSIC: https://rb.gy/g4yzh8 Citation: Day, N. J. S., Townsend, M. L., & Grenyer, B. F. S. (2020). Living with pathological narcissism: A qualitative study. Borderline Personality Disorder and Emotion Dysregulation, 7(19). Full Text Link: https://pmc.ncbi.nlm.nih.gov/articles... About Heal NPD Heal NPD is a clinical practice specializing in the assessment and treatment of pathological narcissism, narcissistic personality disorder, and related personality difficulties. We offer comprehensive diagnostic assessments, individual psychotherapy, and consultations for partners and family members. Learn more or inquire about services: https://healnpd.org
Hi ya'll. More men! Today you meet Seth who shares openly about his diagnosis, being raised in a "cult church", parenting his child differently, and practicing as much self-kindness as he experiences self-hate. Thank you Seth for sharing your journey on the podcast! Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Recovering from invalidation is an interpersonal effectiveness skill in DBT. In Dialectical Behavior Therapy (DBT), “recovering from invalidation” refers to recognizing when another person dismisses, minimizes, ignores, or misunderstands your emotions and then responding effectively instead of spiraling into shame, self-doubt, or emotional dysregulation. The skill involves grounding yourself in the understanding that your emotions and experiences can still be real and meaningful even if another person does not validate them, while also using interpersonal effectiveness skills to communicate needs, maintain self-respect, and decide how to respond in the relationship. Here's the DBT pages on this skill: https://eymtherapy.com/wp-content/uploads/2018/06/recovering-from-invalidation.pdfDr. Kristen Neff self-compassion information here: https://self-compassion.org/Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Can someone with BPD feel other people's emotions so intensely that it actually starts getting in the way of empathy?In this episode of The BPD Bunch, Xannie, Georgette, André, Solène, and Katja continue their conversation about BPD and empathy by exploring the difference between emotionally feeling with someone and actually understanding what they need. They share their top tips, lessons and skills they use to navigate empathy more effectively.In case you're new here, this season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). Under the AMPD, difficulties with empathy are considered part of impairments in interpersonal functioning, alongside intimacy. To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning: identity, self direction, empathy, or intimacy, along with four or more pathological personality traits, which we'll be discussing in more detail later this season.In this episode:* BPD and empathy* Cognitive vs affective empathy* Emotional mirroring* Rejection sensitivity* Social paranoia* Problem solving vs listening* Emotion regulation and empathy* “Feeling everything” with BPD* The empathy trap* Learning to ask what people needIf you've ever absorbed other people's emotions, assumed you knew what someone needed, taken neutrality personally, or felt emotionally overwhelmed in relationships, this episode is for you.In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explain what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. In case you missed it, here are the links:Watch part 1 hereWatch part 2 here⸻
More stories from men with BPD today! Clark is here to share his story with Borderline Personality Disorder. He's experienced prison, getting sober, parenting, and is about to embark on a new therapy journey. Thank you Clark for sharing your story! Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Our guest on today’s livestream says not only is parental alienation (mental abuse of children) real, but that work and research done by child advocates show that it’s strongly correlated with having a mother/wife figure with Borderline Personality Disorder. Lisa Chynoweth is a licensed master social worker (LMSW), a mother, stepmother, and a coach/consultant for those dealing with developmental trauma. She joins the Disaffected livestream to talk about the effort get parental alienation recognized in custody cases so that family courts make decisions that are in the best interests of the children. See omnystudio.com/listener for privacy information.
Happy BPD month ya'll! Each week I'm reviewing a DBT skill as a bonus episode and this week it's DBT Wise Mind. In Dialectical Behavior Therapy (DBT), “wise mind” is the state where your emotional understanding and logical thinking work together.DBT describes three “states of mind”:Emotion mind: driven mainly by feelings, urges, or moodsExample: “I'm furious, so I'm quitting immediately.”Reasonable mind: driven mainly by logic, facts, and analysisExample: “Statistically, staying is safer financially.”Wise mind: the balanced middle ground that includes both emotion and reasonExample: “I'm genuinely unhappy here, but I don't need to make a decision tonight. I can plan a thoughtful next step.”Let's get into it! Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Can someone with BPD care about other people and still behave in profoundly unempathetic ways?In this episode of The BPD Bunch, Xannie, Georgette, André, Solène, and Katja explore the uncomfortable reality that Borderline Personality Disorder can sometimes make people so emotionally reactive, hypervigilant, and consumed by fear that they stop accurately understanding or trusting other people's emotions, intentions, and experiences.This season, we're discussing BPD through the lens of the Alternative Model of Personality Disorders (AMPD). Under the AMPD, difficulties with empathy are considered part of impairments in interpersonal functioning, alongside intimacy. To meet criteria for BPD in this model, a person must have difficulties in at least two areas of personality functioning: identity, self direction, empathy, or intimacy, along with four or more pathological personality traits, which we'll be discussing in more detail later this season.In this episode:* BPD and empathy* Social paranoia in BPD* Misreading neutrality as rejection* Reassurance seeking* Fear of abandonment* Mind-reading and projection* Why emotional overwhelm can reduce empathyIf you've ever convinced yourself someone secretly hated you, struggled to trust reassurance, replayed social interactions for hours, or felt overwhelmed by other people's emotions, this episode is for you.In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explained what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. If you missed them check them out:Part 1Part 2⸻
I was recently asked in a voicemail to host more cis men on the podcast and so here we go! Meet Charles as he talks his experience with BPD, treatment, suicide attempts, and working towards recovery. Charles thank you so much for your time and wisdom! Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Happy Borderline Personality Disorder Awareness Month! Having a Borderline Personality Disorder (BPD) Awareness Month matters because it directly addresses the biggest barriers people with Borderline Personality Disorder face: misunderstanding, stigma, and lack of access to effective care. This month I'll be having TWO episodes each week: one interview/regular episode and one DBT skill episode! Today we're following up with the One Mindfully and Non-judgment. Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Do you struggle to know what you want, stick with a path, or trust your own choices?In this episode of The BPD Bunch, Xannie, Madhurima, Carys and Solène continue their discussion of BPD and self-direction through the lens of the Alternative Model for Personality Disorders (AMPD), exploring how goals, values, identity, relationships, and recovery can all affect the way we build a life.This episode is for anyone with BPD who has ever wondered why it can feel so hard to know who you are, what you want, or where you're going.We talk about:* BPD and self-direction* changing goals, values, and interests* favorite people and life decisions* identity, emptiness, and sense of self* perfectionism, recovery, and self-acceptance* learning how to follow through without getting trapped* finding direction while still allowing yourself to changeThis is part of our Season 7 series where we're breaking BPD down in a more real, human way while also connecting it to newer ways of understanding personality.Follow Xannie and Solene's music journey @Nxi-Sol In the first two episodes of the season, Dr. Carla Sharp, Dr. Frank Yeomans, and Dr. Alex Stein explained what the AMPD is, how it changes from the current categorical model, and how the BPD diagnosis is changing. ⸻
Have you ever had a friend not text you back, and you're certain that they're mad at you? This is often a disruption in the process of mentalization: the ability to recognize that our thoughts and feelings might not be facts. Mentalization is a process we can all struggle with, but it's particularly important for people who have Borderline Personality Disorder (BPD). In this episode, Forrest is joined by psychotherapist and author Robert Drozek to discuss mentalization-based treatment (MBT) and the tools that can help us develop more flexibility and curiosity around our assumptions. Bob outlines the three common modes of mentalizing, explains how childhood experiences shape mentalization, and offers a map for building healthier ways of relating to our thoughts and feelings. About our Guest: Robert Drozak is a clinical social worker, the clinical director of the Mentalization-Based Treatment Clinic at McLean Hospital, and a teaching associate in the Department of Psychiatry at Harvard Medical School. His new book, Mentalization: Utilizing Reflection to Heal from Borderline Personality Disorder, is the first book about Mentalization-Based Treatment aimed at a general audience. Key Topics: 0:00: Intro: what is mentalization? 5:12: Ways mentalization can go wrong 13:25: Borderline Personality Disorder as a deficit in mentalization 22:13: How mentalization is shaped in childhood 28:54: The alien self 32:23: Developing an MBT formulation 42:03: MBT in the therapy room 54:40: Challenging your beliefs and assumptions 1:11:21: How to get out of pretend mode 1:21:37: Addressing problems with interoception 1:30:00: Recap Support the Podcast: We're on Patreon! If you'd like to support the podcast, follow this link. Sponsors Sleep Reset is offering a free 7-day trial, available only at thesleepreset.com/podcast. Start your first week of real, clinician-designed insomnia treatment tonight. Learn more about your ad choices. Visit megaphone.fm/adchoices
This episode gives parents of adults with borderline personality disorder insights into the experience of parenting someone with BPD and strategies for supporting their children. When your child struggles with intense emotions, it's heartbreaking for any parent. But when you're a parent of an adult child with borderline personality disorder (BPD), you're walking on eggshells trying not to make things worse. In this episode, Dr. Kibby shares powerful, research-backed strategies for parents of grown children with intense emotions, revealing how your approach can prevent crises from escalating and rebuild vital connections.You'll discover why family dynamics often reinforce emotional storms, and how shifting your perspective can de-escalate fights before they explode. Dr. Kibby breaks down practical, compassionate tools like validation, boundary-setting, and safety planning—skills that empower you to stay calm and present, even when your loved one is in chaos. Plus, she reveals why involving the whole family system is essential, not just the individual with BPD, and how to handle crisis moments like threats or self-harm without reinforcing harmful behaviors. We'll also explore the impact of trauma, shame, and guilt that parents carry and how your own mental health is intertwined with theirs. If you're exhausted by cycles of overwhelm, blame, or hopelessness, this episode is your guide to navigating the unthinkable with clarity and kindness. Perfect for parents, partners, or anyone supporting someone with borderline or emotional dysregulation.Resources:Join KulaMind, Dr. Kibby's support program for parents and partners of people with BPDBook: Stop Walking on Eggshells for Parents: How to Help Your Child (of Any Age) with Borderline Personality Disorder without Losing Yourself
Artist and actress Makhyli (Boys World) joins Nicole to chat about her experience dating while in a pop girl group. Makhyli shares how she literally created a "Build-A-Boy" slideshow presentation to manifest her current boyfriend - and it actually worked! The girls swap their worst car-date horror stories, from a guy so cheap he forced Makhyli to share a single McDonald's french fry, to a man who casually had rotting food in his backseat. Makhyli opens up about navigating relationship paranoia with Borderline Personality Disorder (BPD), and the two discuss tips they've picked up for dating with ADHD. Plus they chat about their love for the latest season of Love on the Spectrum.Makhyli's new single, I Need You (Cat and Mouse) is out now!Watch this episode on our YouTube channel at https://www.youtube.com/@WhyWontYouDateMePodcastTake our listener survey and shape the future of the podcast!Support this podcast and get discounts by checking out our sponsors:Jones Road: Use code DATEME at jonesroadbeauty.com to get a Free Shimmer Face Oil with your first purchase! #JonesRoadBeauty #adWarby Parker: Our listeners can buy one prescription pair and get 20% off additional pairs at WarbyParker.com/DATEME — and using our link helps support the show.Lola Blankets: Get 40% off your entire order at Lolablankets.com by using code DATEME at checkout. Experience the world's #1 blanket with Lola Blankets.Follow:All Links: linktr.ee/whywontyoudatemeTour Dates: linktr.ee/nicolebyerwastakenYouTube: @WhyWontYouDateMePodcastTikTok: @whywontyoudatemepod Instagram: @nicolebyerX: @nicolebyerThis is a Headgum podcast. Follow Headgum on Twitter, Instagram, and Tiktok. Advertise on Why Won't You Date Me? via Gumball.fm.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Frank Yeomans is an Adjunct Associate Clinical Professor of Psychiatry at Columbia University Vagelos College of Physicians and Surgeons. He is one of the developers of Transference-Focused Psychotherapy (TFP). In this episode, he offers a deep dive into the theory and clinical practice of TFP as a treatment for Borderline Personality Disorder. Drawing on object relations theory, Dr. Yeomans explains how BPD is understood through the lens of identity integration and split internal representations, and walks clinicians through the full arc of TFP treatment — from thorough assessment and diagnostic feedback, through contracting and frame-setting, to active intervention using clarification, confrontation, and interpretation. He also addresses the clinical use of countertransference as a window into the patient's internal world, signs of therapeutic progress, and how object relations principles can be applied even outside a formal TFP frame.Published On: 4/16/2026Duration: 40 minutes, 21 secondsEarn CME for listening to this episode here.